REGISTRATION FORM

www.marcetic.com
www.facebook.com/aosfd
@academy_of_serbian_folkdancing
rodika.marcetic@gmail.com

Thank you for your interest in registering for the
AKADEMIJA SRPSKE NARODNE IGRE

ACADEMY OF SERBIAN FOLK DANCING ASSOCIATION
2020/2021 Season.

Please fill out the following questions to complete the process.

Question Title

* 1. Your contact info:

First Name (Dancer's)

Last Name

Date of Birth
(DD-MM-YYYY)

Mother's Name

Father's Name

Address

Home Phone

Cell Phone (s)

E-mail (s)

Question Title

* 2. Your medical / contact info:

Emergency Contact
Name & Phone

Family Doctor
Name & Phone

Chronic Illness

Allergies

Health Card #

Question Title

* 3. This is to confirm:

I will call ASFD Assoc. at 416-877-7750 to get the total amount for the dance fee that applies to me.

I fully understand and accept full responsibility for all events me and my child take part in at The Academy of Serbian Folk Dancing Association. By no means is the Academy of Serbian Folk Dancing Association liable for any accident or incident that may occur.

In case of any known medical condition (such as allergies) it is my ultimate responsibility to provide adequate care for myself and my child.

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* 4. Please sign (type) your full name (dancer over 18 years of age) / the full name of parent/guardian (dancer under 18 years of age) as an electronic signature. With this signature you confirm that the information provided in this form is true, complete and accurate.

REGISTRATION FORM

Question Title

* 1. Your contact info:

Question Title

* 2. Your medical / contact info:

Question Title

* 3. This is to confirm:

Question Title

* 4. Please sign (type) your full name (dancer over 18 years of age) / the full name of parent/guardian (dancer under 18 years of age) as an electronic signature. With this signature you confirm that the information provided in this form is true, complete and accurate.

Question Title

* 5. Date